21461 Optx mndblr fracture wo ntrdntl
Also known as: mandible ORIF without dental wiring, open reduction mandible no arch bars
Open treatment of mandibular fracture without interdental fixation. Surgical reduction and internal fixation of mandibular fractures without relying on dental occlusal guidance for stability.
In Plain Language
jaw surgery without tooth-to-tooth wiring; internal fixation of lower jaw fracture
Clinical Context
Used for mandibular fractures requiring open fixation when dental occlusion cannot reliably guide healing or when teeth are absent. Rigid fixation devices maintain fracture reduction independent of occlusal relationship.
RVU Breakdown
| Work RVU | 9.08 |
| Total RVU | 9.08 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 90-day global period, which includes the day of the procedure, 1 day preoperative, and 90 days of postoperative care. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 9.08, this code ranks in the 55th percentile among Surgery codes — 1.1x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 21461?
CPT 21461 (Optx mndblr fracture wo ntrdntl) is a Surgery code. Open treatment of mandibular fracture without interdental fixation. Surgical reduction and internal fixation of mandibular fractures without relying on dental occlusal guidance for stability.
What is the wRVU value for CPT 21461?
The work RVU for CPT 21461 is 9.08. This code is primarily used by Oral Surgery, Otolaryngology. It has a 90-day global period.
When is CPT 21461 used?
Used for mandibular fractures requiring open fixation when dental occlusion cannot reliably guide healing or when teeth are absent. Rigid fixation devices maintain fracture reduction independent of occlusal relationship.
Track This Code in RVU Edge
Log procedures, calculate wRVUs, and benchmark against MGMA data — all in one app.
CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.